Provider Demographics
NPI:1376779397
Name:COOLEY, KATHALEEN DENISE (MA, NCLPC BE)
Entity Type:Individual
Prefix:MRS
First Name:KATHALEEN
Middle Name:DENISE
Last Name:COOLEY
Suffix:
Gender:F
Credentials:MA, NCLPC BE
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:247 CHARLOTTE ST STE 209
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1553
Mailing Address - Country:US
Mailing Address - Phone:828-782-5574
Mailing Address - Fax:844-237-3958
Practice Address - Street 1:247 CHARLOTTE ST STE 209
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1553
Practice Address - Country:US
Practice Address - Phone:828-782-5574
Practice Address - Fax:844-237-3958
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional